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KMID : 0367419760170080023
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Journal of Korean Pediatric Society
1976 Volume.17 No. 8 p.23 ~ p.28
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Clinical Observation of Parathion Intoxication in Infants and Children
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이승정/Lee, Seung Jung
박건희/김이우/백철홍/오지섭/신동학/Park, Kun Hee/Kim, Rhee Woo/Peak, Chul Hong/Oh, Ji Sub/Shin, Dong Hak
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Abstract
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The following results have been obtained through the clinical observation of 56 cases of acute parathion intoxication among the Pediatric in patients at Taegu Presbyterian Hospital during the-past 13 years from 1961 to September 1973.
1. Sex incidence was higher in the boys than the girls and the majority (70%) of the patients was under 5 years old.
2. Accidents occurred more frequently during the summer and winter than other seasons, and there was no increase and decrease seen by years.
3. Parathion intoxication accidents took place more in the outskirt of city than the rural area.
4. Circumstance of intoxication was mainly caused by the careless parents who sprayed parathion insecticide in the rooms.
5. The most frequent clinical symptoms were muscarinic action, miosis, salivation, sweating, stridor and unconscious states of C.N.S. action.
6. Case of Leukocytosis with left shifting was 52%, eosinopenia was 66% and lymphopmia was. 66%.
7. Serum cholinesterase was significantly decresed through the method of Hesterin-Myasaki in all 9 cases to the minimum of 3.2 mg/ml and maximum of 9.5 mg/ml.
8. Combined treatment of atropine with 2-PAM chloride(pralidoxime chloride) revealed realtively better prognosis and faster recovery than using atropine alone.
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